Care Manager – Patient Call Center - Home-based
$45,760–$47,840 year
On-siteVancouver, Washington, United States
Job Summary
Conduct outbound calls to obtain eligibility information, perform benefit investigations, and check prior authorization or appeal status. Answer inbound calls to assist customers with pharmacy-related services and document all interactions accurately. Contact insurance companies for coverage eligibility and support patients with enrollment for copay assistance programs. Maintain strict professionalism while adhering to HIPAA guidelines and program KPIs. Update job knowledge through training activities and work efficiently within a virtual team. Available for an 8-hour shift between 8am-8pm EST. This remote position requires a private workspace with high-speed internet and proficiency in Microsoft Suite and soft phone systems.
Required Qualifications
- High School Diploma or equivalent
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience
- Previous data entry experience (minimum three months) and ability to type 30wpm+
- Able to demonstrate high attention to detail in work
- Must be computer savvy, to include navigating multiple computer tabs, monitors, and applications
- Advanced ability/knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc.) and soft phone systems (WebEx, Mitel, Shoretel, etc.)
- Exceptional communication skills, both written and verbal
- Able to work in a virtual team environment by being available and responsive during working hours
- Excellent follow through
- Must reside in country where the job is posted
- Must be available for an 8 hour shift between 8am-8pm EST
- Employees must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines
- Workspace must include internet plug-in accessibility. Wi-fi connectivity is not permitted
Desired Qualifications
- Some College
- Bilingual Spanish - English
- Previous experience in Patient Support Services (Hub)
- Previous Customer Service experience in the healthcare field
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